321163 — Tube Ear Durovent Sil
Cite this view
HANK Price Transparency. (n.d.). TUBE EAR DUROVENT SIL (CDM 321163) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/321163?code_type=CDM
“TUBE EAR DUROVENT SIL (CDM 321163) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/321163?code_type=CDM. Accessed .
“TUBE EAR DUROVENT SIL (CDM 321163) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/321163?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $233–$600 (25th–75th percentile) across 6 hospitals · 51 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 321163 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| Highlands Rehabilitation Hospital Outpatient | Cigna | IndividualFamilyPlanHIX | $81.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Cigna | IndividualFamilyPlanHIX | $81.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | IFP | $115.56 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Cigna | IFP | $115.56 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | QHP | $119.84 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Cigna | QHP | $119.84 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Bienvivir Senior Health | COMM | $127.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Bienvivir Senior Health | COMM | $127.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Healthcare Highways | NarrowNetwork | $144.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Healthcare Highways | NarrowNetwork | $144.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Cigna | OpenAccessPlus | $147.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Cigna | OpenAccessPlus | $147.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Cigna | HMO | $147.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Cigna | HMO | $147.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | United | OptionsPPO | $148.94 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | United | OptionsPPO | $148.94 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | BlueAdvantage | $151.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | BCBS | BlueAdvantage | $151.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Cigna | PPO | $156.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Cigna | PPO | $156.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior | ValueHMO | $171.20 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Superior | EPO | $171.20 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Superior | ValueHMO | $171.20 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Superior | HMO | $171.20 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior | HMO | $171.20 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior | EPO | $171.20 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Molina Healthcare | HIX | $187.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Molina Healthcare | HIX | $187.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | United | OptionsPPO | $206.25 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | United | OptionsPPO | $206.25 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | BCBS | MyBlueHealth | $211.43 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | BCBS | BlueAdvantageHMO | $211.43 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | BCBS | MyBlueHealth | $211.43 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | BCBS | BlueAdvantageHMO | $211.43 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Molina Healthcare | HIX | $214.00 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Molina Healthcare | HIX | $214.00 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | LocalPlus | $225.98 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Cigna | NewBusiness | $225.98 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Cigna | LocalPlus | $225.98 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | NewBusiness | $225.98 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | BlueEssentialsAccess | $233.25 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | BlueEssentials | $233.25 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | BCBS | BlueEssentials | $233.25 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | BCBS | BlueEssentialsAccess | $233.25 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | HealthSelectOpenAccess(EPOSOA) | $246.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | BCBS | HealthSelectOpenAccess(EPOSOA) | $246.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Cigna | HMO | $252.52 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | NetworkBenefit | $252.52 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | HMO | $252.52 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Cigna | NetworkBenefit | $252.52 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Cigna | OpenAccessPlus | $252.52 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | OpenAccessPlus | $252.52 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | LifeCare Hospitals | MGMCD | $256.80 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | LifeCare Hospitals | MGMCR | $256.80 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | PPO | $258.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | BCBS | PPO | $258.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Shared Health | MGMCR | $262.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Shared Health | MGMCR | $262.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | BCBS | BlueEssentialsAccess | $273.06 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | BCBS | BlueEssentials | $273.06 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | BCBS | BlueEssentialsAccess | $273.06 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | BCBS | BlueEssentials | $273.06 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | BCBS | EPOSOA | $286.76 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | BCBS | EPOSOA | $286.76 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Healthcare Highways | CityofPlano | $289.33 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Healthcare Highways | CityofPlano | $289.33 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | BCBS | PPO | $299.60 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | BCBS | PPO | $299.60 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Cigna | AllOther | $319.29 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | AllOther | $319.29 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | HealthSmart Preferred Care | Accel | $337.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | First Health | COMM | $337.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | First Health | COMM | $337.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | United | GlobalBenefitPlan | $337.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | HealthSmart Preferred Care | Accel | $337.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | United | GlobalBenefitPlan | $337.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Prominence Health Plan | HIX | $342.40 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Prominence Health Plan | HIX | $342.40 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Emerging Therapy Solutions | MGMCR | $345.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Emerging Therapy Solutions | MGMCR | $345.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Ysleta Del Sur Pueblo | COMM | $375.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Sheriff's Dept El Paso County Detention | LOCALGOV | $375.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Ysleta Del Sur Pueblo | COMM | $375.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Sheriff's Dept El Paso County Detention | LOCALGOV | $375.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | BCBS | Traditional | $380.06 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | City of McKinney | COMM | $385.20 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | HealthSmart Preferred Care | COMM | $412.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | HealthSmart Preferred Care | COMM | $412.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | SouthWest Medical Provider Network | COMM | $412.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | SouthWest Medical Provider Network | COMM | $412.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | National ChoiceCare | WCOMP | $428.00 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Prime Health | WC | $450.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Prime Health | WC | $450.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Aetna | ASA | $451.11 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Aetna | ASA | $451.11 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Aetna | WCOMP | $470.80 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Rockport Health Group | WORKERSCOMP | $470.80 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Physicians Coop of TX | MGMCR | $470.80 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | PC Texas Partners | WCOMP | $470.80 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Texas Workforce Commission | WCOMP | $472.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Texas Workforce Commission | WCOMP | $472.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Health Services Coalition | COMM | $478.86 | $3,521.00 | $3,521.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Multiplan | COMMPPO | $487.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Multiplan | COMMPPO | $487.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | PHCS | PPO | $487.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | PHCS | PPO | $487.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Averde Health, Inc | PPO | $496.48 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Emerging Therapy Solutions | COMM | $517.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Emerging Therapy Solutions | COMM | $517.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Aetna Coventry First Health | NONEXCLUSIVE | $517.88 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Aetna Coventry First Health | NONEXCLUSIVE | $517.88 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Aetna Coventry First Health | EXCLUSIVE | $517.88 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Aetna Coventry First Health | EXCLUSIVE | $517.88 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | SAMSA | COMM | $525.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | SAMSA | COMM | $525.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Imperial NV | MCR | $528.15 | $3,521.00 | $3,521.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Texas Healthcare Foundation WC | WORKERSCOMP | $556.40 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Galaxy Health Network | COMM | $562.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | DANMARK - International Contract | COMM | $562.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Galaxy Health Network | COMM | $562.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | DANMARK - International Contract | COMM | $562.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Mega Life | MGMCRPPO | $599.20 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | MedCorp Southwest | LOCALGOV | $600.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | MedCorp Southwest | LOCALGOV | $600.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | MedCorp Southwest | COMM | $600.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Arcadian Health Plan | MCR | $600.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | MedCorp Southwest | COMM | $600.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Arcadian Health Plan | MCR | $600.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | USA Managed Care | PPO | $615.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | USA Managed Care | PPO | $615.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Affiliated Healthcare | COMM | $637.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Affiliated Healthcare | COMM | $637.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | HealthSmart Preferred Care | PPO | $642.00 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Molina Healthcare | HIX | $642.00 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $642.00 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Molina Healthcare | HIX | $642.00 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | National Provider Network | COMM | $675.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | National Provider Network | COMM | $675.00 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | USA Managed Care | COMM | $684.80 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | USC Health Services | COMM | $684.80 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | USA Managed Care | WC | $712.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | USA Managed Care | WC | $712.50 | $750.00 | $750.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | HMO | $721.80 | $3,521.00 | $3,521.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | PPO | $721.80 | $3,521.00 | $3,521.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Galaxy Health Network | PPO | $727.60 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Centene | HIX | $739.41 | $3,521.00 | $3,521.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Select Health | HIX | $760.54 | $3,521.00 | $3,521.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | United | OptionsPPO | $767.58 | $3,521.00 | $3,521.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | CIGNA | OAP | $788.70 | $3,521.00 | $3,521.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Select Health | COMM | $811.59 | $3,521.00 | $3,521.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | National Healthcare Solutions | COMM | $856.00 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Unicare | MCD | $856.00 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Independent Medical Systems | COMM | $856.00 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | National Healthcare Solutions | COMM | $856.00 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER Outpatient | Independent Medical Systems | COMM | $856.00 | $856.00 | $856.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Prominence HealthFirst | COMM | $1,056.30 | $3,521.00 | $3,521.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | CMN Global | COMM | $1,478.82 | $3,521.00 | $3,521.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Evernorth | COMM | $1,760.50 | $3,521.00 | $3,521.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Hometown Health Providers | HMO/PPO/POS | $1,760.50 | $3,521.00 | $3,521.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Hometown Health Providers | ThirdPartyAdministratior(TPA) | $1,760.50 | $3,521.00 | $3,521.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | NV Health & Welfare Trust | COMM | $2,112.60 | $3,521.00 | $3,521.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | MultiPlan | INTERNATIONAL | $2,218.23 | $3,521.00 | $3,521.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | MultiPlan | PRIMARY | $2,218.23 | $3,521.00 | $3,521.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | First Health | COMMPPO | $2,323.86 | $3,521.00 | $3,521.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | MultiPlan | COMPLEMENTARY | $2,570.33 | $3,521.00 | $3,521.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Olympus MedSave USA | COMM | $2,640.75 | $3,521.00 | $3,521.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | MedCare International | COMM | $2,640.75 | $3,521.00 | $3,521.00 | 2026-03-01 | MRF ↗ |
| SILVER HILL HOSPITAL INC OutpatientFacility | AETNA ADULT | PPO/POS | $2,781.00 | $4,500.00 | $4,500.00 | 2024-12-24 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | First Health | WC | $2,816.80 | $3,521.00 | $3,521.00 | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Elevance (Anthem BCBS) | MCR | $3,521.00 | $3,521.00 | $3,521.00 | 2026-03-01 | MRF ↗ |